Technical Accounting Manager

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense.

The Role

We are seeking an experienced and highly analytical Technical Accounting Manager to drive research and application of complex accounting policies in a fast-paced, AI-driven environment. If you have at least one year of experience as a Manager in Assurance at a Big 4 audit firm, this is an opportunity to leverage your technical expertise in an innovative setting. You will be responsible for developing policies, crafting memos, ensuring compliance, and building the foundation for scalable financial reporting.

As a key member of our finance team, you will oversee the interpretation and implementation of evolving accounting standards, manage audits, and provide strategic accounting guidance. You must be able to work in the office (hybrid schedule) in San Francisco.

What You’ll Do

Research & Apply Complex Accounting Policies

• Serve as the company’s technical accounting expert, providing clear guidance on complex accounting matters.

• Draft technical accounting memos to support financial reporting decisions and ensure compliance with US GAAP and international accounting standards.

• Develop and maintain corporate accounting policies to ensure consistency and compliance with regulatory standards.

• Proactively monitor changes in accounting regulations and assess their impact on the company.

Lead Internal Controls & Audit Readiness

• Develop and implement robust internal control frameworks to ensure financial integrity and compliance.

• Project manage external audits, coordinating with auditors and internal stakeholders to facilitate a seamless audit process.

• Support initiatives to enhance financial controls and compliance as the company scales, including future SOX readiness.

Other Responsibilities

• Enhance financial reporting efficiency through automation and technology-driven solutions.

• Refine process documentation to ensure consistency and operational clarity.

• Manage the administration of the company’s equity compensation plans, ensuring compliance with regulatory requirements.

• Assist in accounting considerations for M&A transactions, financing deals, and other complex business arrangements.

• In the future, you will lead the preparation and filing of SEC reports (10-Q, 10-K, and other filings), ensuring accuracy, timeliness, and adherence to regulatory standards.

What You’ll Bring

• Big 4 Background: At least 1 year as a Manager in Assurance at a Big 4 audit firm, with a strong foundation in technical accounting.

• Technical Accounting Expertise: Extensive experience with US GAAP, including ASC 606 (Revenue), ASC 718 (Stock-Based Compensation), ASC 805 (Business Combinations), and ASC 470-480 (Financing Transactions).

• SEC Reporting Experience: Hands-on experience preparing and filing SEC reports, including 10-Q and 10-K filings.

• Audit & Compliance Leadership: Proven ability to manage audits, implement internal controls, and ensure financial compliance.

• Process & Technology Focus: Ability to improve financial processes through automation and scalable solutions.

• Strong Analytical & Communication Skills: Ability to translate complex accounting concepts into clear, actionable insights.

• Scalability & Growth Preparation: Experience supporting initiatives for enhanced financial controls and compliance in a growing company.

• Systems Proficiency: Experience with financial systems such as QuickBooks, Salesforce, and payroll tools like Rippling is a plus.

Why Work at Abridge?

• Be a part of a trailblazing, mission-driven organization that is powering deeper understanding in healthcare through AI!

• Opportunity to work and grow with talented individuals and have ownership and impact at a high-growth startup.

• Flexible/Unlimited PTO — Salaried team members can take off as much approved time off as they need, plus 13 paid holidays

• Equity — For all salaried team members

• Medical insurance — We pay 100% of the premium for you + 75% for dependents. 3 Aetna plans to choose from.

• Dental & Vision insurance — We pay 100% of the premium for you + 75% for dependents. 2 Aetna plans to choose from.

• Flexible Spending (FSA) & Health Savings (HSA) Accounts

• Learning and Development budget — $3,000 per year for coaching, courses, workshops, conferences, etc.

• 401k Plan — Contribute pre-tax dollars toward retirement savings.

• Paid Parental Leave — 16 weeks paid parental leave, for all full-time employees

• Flexible working hours — We care more about what you accomplish than what specific hours you’re working.

• Home Office Budget — We provide up to $1,600 in a one-time reimbursement to set up your home office.

• Sabbatical Leave — 30 days of paid Sabbatical Leave after 5 years of employment.

• ...Plus much more!

Life at Abridge

At Abridge, we’re driven by our mission to bring understanding and follow-through to every medical conversation. Our culture is founded on doing things the “inverse” way in a legacy system—focusing on patients, instead of the system; focusing on outcomes, instead of billing; and focusing on the end-user experience, instead of a hospital administrator's mandate.

Abridgers are engineers, scientists, designers, and health policy experts from a diverse set of backgrounds—an experiment in alchemy that helps us transform an industry dominated by EHRs and enterprise into a consumer-driven experience, one recording at a time. We believe in strong ideas, loosely held, and place a high premium on a growth mindset. We push each other to grow and expose each other to the latest in our respective fields. Whether it’s holding a PhD-level deep dive into understanding fairness and underlying bias in machine learning models, debating the merits of a Scandinavian design philosophy in our UI/UX, or writing responses for Medicare rules to influence U.S. health policy, we prioritize sharing our findings across the team and helping each other be successful.

Diversity & Inclusion

Abridge is an equal opportunity employer. Diversity and inclusion is at the core of what we do. We actively welcome applicants from all backgrounds (including but not limited to race, gender, educational background, and sexual orientation).

Staying Safe - Protect Yourself From Recruitment Fraud

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.